A nurse is caring for a client who has breast cancer and has been receiving chemotherapy. Which of the following laboratory values should nurse report to provider?

Correct Answer: A

Rationale: The correct answer is A: WBC 3,000/mm3. A low white blood cell count (WBC) can indicate bone marrow suppression from chemotherapy, leading to increased risk of infection. Reporting this value is crucial for timely intervention. B: Hemoglobin 14 g/dl is within the normal range and not typically a concern in this scenario. C: Platelet count of 250,000/mm3 is within the normal range and does not pose an immediate threat to the client. D: aPTT of 30 seconds is within the normal range and is not directly related to the client's current condition of breast cancer and chemotherapy.

Correct Answer: C

Rationale: The correct answer is C. As individuals age, changes in liver functioning can lead to slower metabolism and clearance of medications from the body. This can result in medication levels accumulating in the system, potentially leading to toxicity. This explanation is important for the patient to understand the risks associated with their medications. Choice A is incorrect because the speed of stomach emptying does not necessarily impact medication effects. Choice B is incorrect as the entire GI system speeding up is not a typical age-related change and does not necessarily affect medication digestion. Choice D is incorrect as age-related circulation changes do not necessarily mean medications are delivered more quickly to specific body sites.

Correct Answer: C

Rationale: The correct answer is C because women who are incarcerated are more likely to receive mental health services than men. This is because women in the criminal justice system often have higher rates of mental health issues compared to men. Providing mental health services to incarcerated women can help address underlying issues contributing to their criminal behavior and aid in their rehabilitation. Choice A is incorrect as mentally ill men are actually more likely to be convicted of a crime due to various factors such as lack of access to mental health services, stigma, and social circumstances. Choice B is incorrect as it generalizes without considering various factors affecting the likelihood of conviction for mentally ill women. Choice D is incorrect as it makes a broad statement about African American offenders without considering the individualized mental health needs of each offender.

Correct Answer: B

Rationale: The correct answer is B. This outcome is specific, measurable, achievable, relevant, and time-bound (SMART). It focuses on discussing behaviors impeding social interaction, promoting self-awareness, and facilitating therapeutic communication. Choice A is too broad and lacks specificity. Choice C addresses specific behaviors but lacks a focus on self-awareness or communication. Choice D addresses anxiety management, which is not directly related to impaired social interaction. In summary, choice B is the most appropriate as it directly addresses the nursing diagnosis and promotes therapeutic communication and self-reflection.

Correct Answer: D

Rationale: The correct answer is D because clubhouse programs are known for being primarily run by psychiatric patients with minimal assistance from mental health staff. This model emphasizes empowerment, peer support, and self-help. It promotes a sense of community and belonging among members, allowing individuals to take an active role in their recovery. Choice A is incorrect because clubhouses are not typically open 24 hours a day. They usually operate during standard business hours. Choice B is incorrect because clubhouses are not run entirely by psychiatric mental health nurses. While mental health staff may be present, the focus is on peer support and collaboration among members. Choice C is incorrect because the primary focus of clubhouses is not on providing ongoing intensive psychotherapy. Instead, they emphasize socialization, skill-building, and vocational support in a non-clinical setting.